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Malahayati International Journal of Nursing and Health Science
Published by Universitas Malahayati
ISSN : 26209152     EISSN : 26214083     DOI : https://doi.org/10.33024/minh.v7i10
Core Subject : Health,
Health Professions Nursing Public Health
Malahayati International Journal of Nursing and Health Science is a peer-reviewed journal and provides a platform to publish areas of nursing and health science. The journal also seeks to advance the quality of research by publishing papers introducing or elaborating on new methods in nursing and health science, subject areas for publication include nursing and health science core
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 180 Documents
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Analysis of hospital food services to improve food intake among inpatients Hanani Abriani Sartika; Saimi Saimi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.740

Abstract

Background: Excessive food waste in hospital inpatient wards represents a serious concern, potentially indicating dissatisfaction among patients regarding the meals served. This issue not only undermines the efficiency of nutrition services but may also hinder the patient's recovery process. Purpose: To analysis of hospital food services to improve food intake among inpatients. Method: An analytical observational design using a cross-sectional approach was applied. From a population of 952 individuals, a total of 90 participants were selected as sample. Data were collected through a validated questionnaire (p < 0.05), and reliability was confirmed using Cronbach’s Alpha (≥ 0.7), indicating strong consistency. Data were analyzed using chi-square tests for bivariate analysis and multiple logistic regression for multivariate analysis. Results: Improved friendliness among nutrition staff significantly reduced food waste, with an effect size of 7.122 times. This underscores the critical role of interpersonal interactions in nutrition services. Enhanced food presentation increased patient consumption or decreased food waste by 28.451 times, with a regression coefficient of 3.348, highlighting the importance of food aesthetics and appeal. The accuracy of nutritional content and calorie levels reduced food waste by 16.873 times (regression coefficient = 2.826), confirming the impact of appropriate nutritional composition. Moreover, patients with a more positive attitude were 2.585 times more likely to consume their meals, as indicated by a regression coefficient of 0.950. Conclusion: This study demonstrates that the friendliness of nutrition staff significantly contributes to the success of hospital nutrition services and improves patient satisfaction. Elements of food presentation—including appearance, aroma, temperature, and texture—also play a pivotal role in encouraging patients to eat. Furthermore, providing meals with accurate nutritional value and fostering positive attitudes in patients enhances the effectiveness of nutritional interventions and supports the healing process during hospitalization.
Urban-rural disparities and determinants of stunting among children under five in Indonesia Merita Yumna Nisrina; Evi Susanti Sinaga
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.867

Abstract

Background: Stunting remains a significant public health issue in Indonesia, particularly among children under five. Various risk factors across rural and urban settings influence it. Understanding these factors is critical to designing effective interventions that support optimal child growth and development. Purpose: To analyze the urban-rural gap and determinants of stunting in toddlers in Indonesia Method: A cross-sectional study used secondary data from the 2021 Indonesian Nutritional Status Survey. A total of 11,715 children aged 0–59 months were included through total sampling. Independent variables examined included food insecurity, breastfeeding, maternal class participation, family planning, sanitation, drinking water access, dietary diversity, mother’s education, and place of residence. Chi-square tests were used for bivariate analysis, and statistical significance was determined at p < 0.05. Results: Stunting prevalence was 28.6%. Bivariate analysis revealed that food insecurity, lack of breastfeeding, low maternal education, poor sanitation, absence of family planning, non-participation in mother’s classes, and rural residence were significantly associated with stunting (p < 0.05). Access to drinking water and dietary diversity were not significantly associated with stunting. Stunting was higher in rural areas (74.4%) than in urban areas (25.6%). Conclusion: Socioeconomic, behavioral, and environmental factors influence stunting in children under five. Effective stunting prevention strategies should improve maternal education, access to health services, nutrition awareness, sanitation infrastructure, and rural health equity. A multisectoral, community-based approach is essential to reducing stunting and supporting healthy child development in Indonesia.
Analysis factors that influence prenatal stress levels and the impact of preparation on labour and delivery Anisrina Anisrina; Maidar Maidar; Hermansyah Hermansyah; Meutia Zahara; Asnawi Abdullah
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.868

Abstract

Background: Pregnancy is a crucial period that significantly influences both the physical and psychological well-being of mothers. One of the most common health concerns during pregnancy is the mother's mental health, which can influence both her weight gain and the estimated weight of the fetus. Purpose: To identify the factors that influence prenatal stress levels and the impact of preparation on labour and delivery. Method: This cross-sectional study involved 120 third-trimester pregnant women, recruited using a total sampling technique. Data were obtained through questionnaire-based interviews and analyzed using ordinal logistic regression. Results: Mild stress levels was experienced by 63.33% of participants. Variables associated with prenatal stress included maternal age, education, income, occupation, social support, pregnancy complications, pregnancy status, antenatal care (ANC) visits, and parity. Prenatal stress was found to influence both maternal weight gain and estimated fetal weight. Conclusion: Maternal age and parity were identified as protective factors against prenatal stress. The multivariate model accounted for 63% of the variation in mental health observed.
Hospital finances, service quality in hospital care and the Indonesian national health insurance system Firda Nur Laila; Vip Paramarta; Farida Yulianty; Kosasih Kosasih; Afira Febriani
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.874

Abstract

Background: Indonesia’s National Health Insurance (NHI) program represents a significant step toward achieving Universal Health Coverage (UHC). While it has successfully broadened healthcare access, the program faces considerable challenges regarding financial sustainability, which directly affects hospital operations and service quality. Purpose: To assess the impact of NHI implementation on hospital financial performance and service quality in Indonesia, identify influencing factors, and offer strategic policy recommendations. Method: A systematic literature review was conducted using the PRISMA protocol. Relevant studies published between January 2020 and February 2025 were sourced from five major databases (PubMed, Scopus, Web of Science, ScienceDirect, and ISJD). Articles were selected based on rigorous inclusion and exclusion criteria and analyzed thematically. Results: Following the introduction of the NHI program, many hospitals encountered financial strain, mainly due to delayed claim reimbursements and reimbursement rates considered inadequate. These financial constraints led to reduced investment in workforce development, medical technology, and infrastructure. A positive link was identified between hospital financial health and the quality of care delivered. Conclusion: The future success of the NHI program is highly dependent on its ability to ensure both the financial viability of hospitals and the delivery of high-quality healthcare. A failure to maintain this balance may undermine the broader health system's effectiveness. Suggestions: A cohesive policy approach is essential, involving collaboration among the Social Security Administering Body for Health, healthcare providers, and the government. This includes establishing fair reimbursement rates, expediting claim processes, and supporting hospitals in maintaining and enhancing service quality.
Fetal cardiomegaly in a preeclamptic pregnancy: A case report Muhammad Imam Muttaqien; Donel Suhaimi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.878

Abstract

Background: Preeclampsia is a pregnancy-specific condition characterized by hypertension and proteinuria after 20 weeks of gestation. This disorder is associated with endothelial dysfunction, abnormal placentation, and reduced uteroplacental perfusion. Preeclampsia increases the risk of complications for both mother and fetus, including intrauterine growth restriction, preterm birth, and perinatal mortality. In the fetus, placental insufficiency caused by preeclampsia may result in hypoxia and increased cardiac workload, which can subsequently lead to cardiomegaly. Early detection and proper management are essential to reduce morbidity and improve pregnancy outcomes. Purpose: To evaluate the association between preeclampsia and the occurrence of fetal cardiomegaly as detected through prenatal ultrasound. Method: This descriptive analytic study applied a case study approach involving a 20-year-old pregnant woman with preeclampsia who delivered preterm at the Obstetrics and Gynecology Department. Data collection included interviews, physical examinations, medical records, and diagnostic imaging, particularly fetal ultrasound. Ethical principles were followed, and informed consent was obtained from the patient. Data analysis was performed descriptively, comparing clinical findings with theoretical evidence to support discussion and management strategies. Results: Ultrasound examination revealed fetal cardiomegaly accompanied by reversed end-diastolic flow in the umbilical artery, indicating severe compromise of fetal well-being. The patient was closely monitored, and timely delivery was performed. The neonate required immediate neonatal intensive care management due to prematurity and cardiovascular complications. Conclusion: This case highlights the relationship between preeclampsia and fetal cardiomegaly, emphasizing the importance of comprehensive monitoring and timely intervention in high-risk pregnancies. Early recognition and appropriate management can improve maternal and neonatal outcomes in cases complicated by preeclampsia.
Examining determinants of career progression and competency enhancement among nurses Pitriyanti Pitriyanti; Irna Nursanti; Febrian Rahmat Suwandi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.879

Abstract

Background: Career progression in nursing is achieved through enhanced competencies gained from formal, structured education, relevant informal learning, and clinical experience. However, the implementation of career pathways in several hospitals remains suboptimal. Purpose: To examine the key factors influencing the development of nurses' career levels and competencies at Haji Abdoel Majid Batoe Hospital, Batang Hari Jambi. Method: A quantitative correlational study with an ex post facto design was conducted at Haji Abdoel Majid Batoe Hospital between October and November 2024. Data were collected using a questionnaire from a proportionally randomized sample of 141 nurses. Data analysis was carried out using multiple linear regression. Results: Supervisor support was the most influential factor affecting nurses' career level and competency development (p = 0.000). Overall, 38.5% of the variance in career level and competency development could be explained by job satisfaction, supervisor support, and management support, while the remaining 61.5% was attributed to other variables outside the model. Conclusion: Job satisfaction, supervisor support, and management support significantly contribute to the development of nurses' career levels and competencies. It is recommended that hospital management, particularly the nursing committee, implement a policy of monthly mentoring sessions for nurses undergoing competency assessments for career advancement.
A management approach to nursing education for preventing post-cataract surgery infections: A scoping review I Nyoman Widiadnyana; I Ketut Swarjana; Ni Luh Dwi Indrayani; I Gede Satria Astawa
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.882

Abstract

Background: Cataracts remain the leading cause of blindness globally, and surgery is the primary treatment. Inadequate postoperative care can lead to serious complications, including endophthalmitis. Nurse-led education is critical for prevention, and its impact can be strengthened through a management function approach. Purpose: To review nursing education strategies for preventing postoperative cataract infection from a management function perspective. Method: A scoping review was conducted following PRISMA guidelines using the PCC framework (P: nurse, C: educational management, C: postoperative cataract infection). Searches were performed in PubMed (MeSH terms) and Science Direct (standard keywords) for English-language, full-text articles published between 2014 and 2024. Narrative, integrative, scoping, and systematic reviews, as well as meta-analyses, were excluded. Results: The search retrieved 166 articles (75 PubMed, 91 Science Direct). After screening and eligibility assessment, 12 articles were included. Although none explicitly examined management functions, analysis revealed their implicit application. Educational interventions, when systematically planned, organized, implemented, and evaluated, enhanced effectiveness in preventing postoperative cataract infections. Conclusion: Incorporating a structured management function approach can improve the effectiveness of nursing education in preventing postoperative cataract infections. No studies were found that directly applied this framework in cataract postoperative care, indicating a gap for future research.
Influence of sociocultural beliefs and practices on contraception in Deli Serdang, Indonesia Gustina, Jessi; Apriani, Riny; Syahna, Syahfira Ananda; Nurhaida, Nurhaida
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.887

Abstract

Background: Family planning (KB) is one of the government programs to control the rate of population growth. This Program is aimed to improve the welfare of the people of Indonesia and support the Sustainable Development Goals (SDGs) development system. Implant is one type of long-term hormonal contraception that has proven to be very effective in preventing pregnancy for three to five years. With a success rate of 97 to 99%, the implant is a very effective contraceptive method for women of childbearing age who want to delay or prevent pregnancy. However, the level of use of implants among the public is still relatively low. Purpose: To determine the relationship of trust and socio-cultural couples of childbearing age in the use of use of an intrauterine device under the skin (AKBK). Methods: A descriptive quantitative approach, specially focusing on cross-sectional method. The study took place from March 2025 in Clinic Yanti Bandar Setia, Deli Serdang. The independent variable was trust and sociocultural, dependent variable is use of contraceptives under the skin. Using accidental sampling and slovin formula, 31 respondents were selected who met specific inclusion and exclusion criteria. The analysis proceeded with a univariate test to determine the frequency distribution of respondent’s characteristics, followed by bivariate analysis using chi-square test. Results: The results of chi-square analysis showed that there was a significant correlation between trust (p=0.003) and social culture (p=0.005) with the use of IMR in fertile couples. Conclusion: The level of trust and socio-cultural factors have a significant effect on the decision of couples of childbearing age to use implantable contraceptives.
Analysis of factors: Prevalence and determinants of anaemia among pregnant women in Mimika, Indonesia Desty Damayanti; Yenny Puspitasari; Indasah Indasah
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.888

Abstract

Background: Anemia in pregnant women remains a chronic issue in Indonesia, with a prevalence of 48.9% based on the 2018 Basic Health Research. A preliminary study at Atuka Health Center, Mimika Regency, found that 4 out of 7 pregnant women had anemia. Purpose: To analyze the factors influencing the incidence of anemia in pregnant women at Atuka Community Health Center, Mimika Regency. Method: This observational analytic study used a cross-sectional design with simple random sampling. The sample included 101 multigravida pregnant women. Independent variables were gestational age, pregnancy spacing, and Fe tablet compliance; the dependent variable was anemia incidence. Logistic regression was used for analysis. Results: Gestational age (p = 0.013), pregnancy spacing (p = 0.022), and Fe tablet compliance (p = 0.005) significantly influenced anemia incidence. Conclusion: Gestational age, pregnancy spacing, and compliance with Fe tablet consumption significantly influence the incidence of anemia. Compliance with Fe tablet consumption is the most influential factor (OR = 4.320).
Pocket book on knowledge and perception of stunting among public health cadre in Indonesia Sugeng Santoso; Rinayati Rinayati; Harsono Harsono; Eman Dawood
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.948

Abstract

Background: As many as 24 million children in Indonesia are at risk of malnutrition. Equipped with training using appropriate media and opportunities, interacting with early childhood education teachers and parents, health cadres are expected to be able to detect stunting early and provide counseling to parents. Meanwhile, health cadres have never received material on early detection and prevention of stunting. Purpose: To determine the effectiveness of a stunting pocketbook developed for health cadres. Method: Quantitative research using a survey of 36 health cadres selected randomly in Ngaliyan District. The study population was all health cadres in Ngaliyan District, with a sample of 36 teachers determined by total sampling. Data analysis used univariate analysis with frequency distribution and the Wilcoxon Signed Rank test. Results: There was a difference in the average knowledge of health cadres after using the stunting pocketbook (p-value: 0.000). Conclusion: The stunting pocketbook can be used by health cadres as a medium for providing counseling to parents to reduce the prevalence of stunting in Indonesia.

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